Government of Andhra

Pradesh
Transport Department
FORM 3
[See Rule 3(a) and 13]
LEARNER'S LICENCE
LLR number. AP303/0000546/2023 Date: 24-03-2023 Appl No: 831529123

1. Name M Naveen NULL

2. Son/Wife/Daughter S/O M Madesh

3. Date of Birth 09-08-2000

4. Optional/Blood B+
Group-RH Factor

5. Present Address 2-30-2 PAIPALYAM KUPPAM,517425

6. Permanent Address ,null

7. Marks of Identification (1) A MOLE ON THE LEFT HAND

(2)

is licenced to drive a Motor Vehicle of the following description throughout India and
in case of E-rickshaw or E-cart, in specified areas or routes, as a learner, subject to
the provisions of rule 3 of the Central Motor Vehicles Rules 1989.

Transport Vehicle-M/HMV (Goods & Passenger),

.......................................................................................................................................
*The holder of the licence has passed the medical test under rule 5 and the
preliminary test referred to in rule 11(1) of the Central Motor Vehicles Rules,1989.
*The holder of the licence is exempted from the medical test under rule 6 and from
the Preliminary test under rule11(2)of the Central Motor Vehicles Rules,1989

This Licence is valid from 24/03/2023 To 23/09/2023

Digitally Signed by Addl

*Strikeoff which ever is inapplicable Licensing Authority
Warning: MVI OFFICE PALAMANER
The attention of the holder of this licence is drawn to rule 3 of CMV Rules, 1989, which
prohibits him from driving any motor vehicle unless he has besides him a person duly
licenced to drive the vehicle and in every case , the vehicle carries "L" plates both in
front
Note:and in the rear of the vehicle.
a. This is a computer generated Document. No signature is required.
b. This Learners Licence is issued based on the Information and declaration submitted
by the applicant with regards to his/her physical fitness to drive a Motor Vehicle and
liable for cancelation if found incorrect/ unfit to drive.